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52 Cards in this Set
- Front
- Back
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What are intended to prevent the introduction and dissemination, domestically or internationally originated diseases?
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Quarantine Regulations
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What are the quarantinable diseases?
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Cholera, Diphtheria, Infectious TB, Plague, Smallpox, Yellow Fever, Viral Hemoragic Fevers, SARS, and pandemic causing influenza.
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What is an acute, diarrheal illness caused by infection of the intestine with the bacterium Vibrio cholerae?
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Cholera
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In a cholera epidemic what is the source of the contamination?
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The feces of an infected person
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What can cause cholera to spread rapidly?
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Inadequate treatment of sewage and drinking water
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Where also may the cholera virus live in the environment?
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Brackish rivers and coastal waters
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What food source could have cholera?
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Raw shellfish
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What are the methods of control for cholera?
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Active immunizations
Case report universally required by World Health Organization, MER Isolation with enteric precautions Concurrent disinfection of feces and vomitus of linens and articles used by patients |
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What is a disease of animals and humans caused by a bacterium named Yersinia pestis?
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Plague
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What is the usual means of contracting the plague?
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Bite from a rodent flea
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What are the clinical forms of the plague?
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Bubonic and Pneumonic
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What are specific methods of control of the plague?
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Education
Rat proofing Storage and disposal of garbage Patient Isolation Clothing repellants Case report required by WHO and a MER report |
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How is Yellow Fever transmitted?
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Mosquito
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How llong does a single dose of Yellow fever vaccine good for?
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10 years
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At what age can you be given the yellow fever vaccine?
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9 months
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When was the last acquired cae of smallpox in the world?
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October 1977 in Somolia
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Who holds the only known variola virus?
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CDC and Koltsovo, Russian Federation
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What disease is a systemic viral disease generally presenting with characteristic skin eruption?
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Smallpox
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What is the instruction for Quarentine regulations of the navy?
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OPNAVINST 6210.2
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What chapter is the navy entomology and pest control technology of the P-5010
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Ch. 8
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What is the shipboard sanitation certificate program?
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BUMEDNOTE 6210
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When may foreign health officials be recieved on board ship?
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To recieve certification compliance only with approval of the CO
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What grants a public health quarentine?
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in the last 15 days prior to arrival in the US patient has temp of 100 degrees or higher accompanied with rash, glandular swelling, or jaundice persisting more than 48 hours, and diarrhea defined as occurance in a 24 hour period of three or more loose stools.
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What are the elements of TB program?
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Screening and testing,
Eval and management of NEW positive tests for LTB TB contact investigations TB patient management Reports |
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What are the two types of approved TB testing?
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PPD (Purified Protein Dirivitive)
BAMT (Blood Assay for M TB) |
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What is bacteria that causes TB?
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Mycobacterium Tuburculosis
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What is a vaccine for TB that is used in other countries?
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Bacillus Calmette Guerin (BCG)
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When would you need a chest Xray testing for TB?
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With a new reactor testing for active
When active disease is expected When new and old reactors are in contact |
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What are the two methods of testing for TB?
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PPD- Mantoux method
BAMT- QuantiFERON-TB Gold |
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What are the TB induration reactor sizes?
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5mm or greater- must be evaluated for INH
15mm or more- Candidate for INH less than 15mm- candidate for INH if meet the BUMEDINST 6224.8A table |
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What is part of the initial eval if someone pops positive for TB?
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Clinical Hx
Physical Exam CHest XRay Baseline LFT |
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What questions should be addressed in TB eval?
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Active TB?
Contraindications to INH TB risk factors Should INH be used/how long Pyridoxine/B6 supplement |
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When will follow up be done when given INH?
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Monthly
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IRT Liver enzymes when should you consider holding INH?
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If Transaminase levels exceed 3 to 5 times normal limit
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Who should be contacted in a case of active TB?
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NEPMU and Public Health Department
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How long must a medical event report be completed after active TB was discovered?
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24 hours
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What are the INH doses?
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300mg/day for 9-months
900mg/twice weekly for 9 months |
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If internet is available what is mandatory for MER reporting?
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Utilizing the Disease Reporting System internet (DRSI)
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When does the MER become reportable?
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When the classification becomes Suspected, Probable, and Confirmed
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How many shots over how long is anthrax imm given?
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5 shots over 18 months
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What is the dosage of anthrax immunization?
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.5ml given 0,4 weeks 6 months, 12 months, 18 months then yearly booster
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When is the immunization for the plague required?
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Only when going into endemic areas
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What is the dosage of the plague Imm?
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3 doses 1ml 0.2 ml a month later then .2 between 3-6 months after 2nd dose
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What are the doses for HEP B
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1cc per dose
2nd dose one month after 1st 3rd dose 6 months after 1st |
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What is the dosage for MMR?
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0.5 ml single dose SUBQ
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If a patient is allergic to eggs what vaccines can they not get?
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Influenza mist, Yellow Fever, MMR
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When giving vaccines what must you always be ready to treat?
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anaphylactic shock
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Who is responsible for vaccines?
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Advisory Committee on Immunization Practices (ACIP)
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When can IMMS not be given?
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While underway
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Where are all immunizations recorded?
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NAVMED 6230/4
PHS or CDC 731 IMMs roster SAMS |
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What temp should MMR be stored?
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-58-46 degrees
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What are all other biological imms stored at?
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35-46 degrees
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